Food foreign body injuries

Arjan B. Sebastian van As, Abdullah M. Yusof, Alastair J.W. Millar, Dario Gregori, Francesca Foltran, Simonetta Ballali, Paola Berchialla, Hugo Rodriguez, Paola Zaupa, Peter Spitzer, Costantinos Demetriades, Ivo Slapák, Ljiljana Sokolova, Eleni Petridou, Antonella D'Alessandro, Manuel Antonio Caldeira Pais Clemente, Jana Jakubíková, Sebastian Van As, Ton De Koning, Desiderio PassaliAlberto Chinsky, Hugo Rodriguez, Fuad Brkic, Ranko Mladina, Olga Kalakouta, Andreas Melis, Michaela Máchalová, Per Caye-Thomasen, Enas Elsheikh, Ahmed Ragab, Anne Pitkäranta, Philippe Contencin Necker, Jocelyne Derelle, Magali Duwelz, Martine Francois, Stephane Pezzettigotta, Christian Righini, Pezzettigotta Stephane, Jane Buzarov, Roehrich Bernhard, Volker Jahnke, Goktas Onder, Petra Zieriacks, Vicky Kalampoki, Nikola Simasko, Charalampos Skoulakis, Angelo Camaioni, Cesare Cutrone, Elisa Gaudini, Domenico Grasso, Nicola Mansi, Gianni Messi, Claudio Orlando, Sabino Preziosi, Italo Sorrentini, Marilena Trozzi, Alessandro Vigo, Giuseppe Villari, Giulio Cesare Passali, Francesco Maria Passali, Yoshifumi Nishida, Gainel Ussatayeva, Ricardo De Hoyos, Foluwasayo Emmanuel Ologe, Muazzam Nasrullah, Amarilis Melendez, Mieckzyslaw Chmielik, Teresa Belchior, Mihail Dan Cobzeanu, Dan Cristian Gheorghe, Adelaida Iorgulescu, Caius-Codrut, Miorita Toader, Jana Barkociová, Beata Havelkova, Miha Zargi, A. B. Sebastian van As, Felix Pumarola, Lorenzo Rubio, Pontus Stierna, Wei Chung Hsu, Sakda Arj-Ong, Chulathida Chomchai, Lennaert Hoep, Rico Rinkel, Erdinc Aydin Baskent, Volkan Sarper Erikci, Metin Onerci, John Graham, Sadie Khwaja, Christopher Raine

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Rationale and aim: The purpose of this study is to acquire a better understanding of Food Foreign Bodies (FFB) injuries in children characterizing the risk of complications and prolonged hospitalization due to food items according to patients' characteristics, circumstances of the accident, Foreign Body (FB) features and FB location, as emerging from the SUSY Safe Web-Registry. Methods: The present study uses data provided by the SUSY Safe Project, a DG SANCO co-funded project started in February 2005, which was aimed at establishing an international registry of cases of Foreign Bodies (FB) injuries in children aged 0-14 years. The analysis was carried out on injuries due to a food item.FB location was reported according to ICD9-CM code: ears (ICD931), nose (ICD932), pharynx and larynx (ICD933) trachea, bronchi and lungs (ICD934), mouth, esophagus and stomach (ICD935).Age and gender injury distributions were assessed. Data regarding adult supervision and activity before injury were also evaluated. FBs which most frequently cause complications were identified. The association between children age, adult presence, object characteristics and hospitalization/complications was computed using unweighted odds ratios and the related 95% confidence intervals. Results: 16,878 FB injuries occurred in children aged 0-14 years have been recorded in the SUSY Safe databases. FB type was specified in 10,564 cases; among them 2744 (26%) were due to a food item. FB site was recorded in 1344 cases: FB was located in the ears in 99 patients, while 1140 occurred in the upper and lower respiratory tract; finally, 105 food items were removed from mouth, esophagus and stomach. Complications occurred in 176 cases and the most documented was pulmonary or bronchial infections (23%) followed emphysema or atelectasis and by and asthma (7%). Bones were the commonest retrieved FFB encountered in this study, while nuts seem to be the FFB most frequently associated to complications. Conclusions: On the basis of this study we make the strong recommendation that parents should be adequately educated and provide age-appropriate food to their children and be present in order to supervise them during eating especially during a critical period ranging from 2 to 3 years of age.

Original languageEnglish
Pages (from-to)S20-S25
JournalInternational Journal of Pediatric Otorhinolaryngology
Issue numberSUPPL. 1
Publication statusPublished - 14 May 2012


  • Bones
  • Food
  • Foreign body
  • Nuts

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